| NPI | 1225121221 |
|---|---|
| Doing Business As | FAMILY MEDICINE OF EDENTON |
| Entity Type | Organization |
| Authorized Contact | JILL MARIE DEVINE Office Manager 252-482-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 8923374) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-12-09 |